NUR2502 Multidimensional Care III Exam 1 study Guide
Uterine leiomyoma
o Also called fibroids or myomas
o Benign, slow growing solid tumors of uterine
... [Show More] myometrium (muscle layer)
o Excessive local growth of smooth muscle cells
Caused by hormones
Cause pain for the patient
o 80% of woman are likely to have fibroids
o Symptomatic or asymptomatic
Key symptom is often heavy vaginal bleeding
o Ask how many pads/tampons are used daily
o Assess pelvic pressure, elimination patterns, abdomen size, dyspareunia,
infertility
Uterine leiomyoma Classification
Classified depending on layer of uterus
Intramural- contained in uterine wall
Submucosal-protrude into uterine cavity
subserosal- protrude through outer surface of uterine wall
Uterine leiomyoma Diagnostic
CBC- iron deficiency anemia from heavy bleeding
Pregnancy test to rule out cause of uterine enlargement
Transvaginal ultrasound- able to see if fibroid is protruding into uterine cavity
Uterine leiomyoma Treatment
Managing bleeding
• Nonsurgical management
o Oral contraception- first thing we do
Surgical management
• MRI focused ultrasound-heat to tumor
• Uterine artery embolization- starves tumor of circulation allowing it to shrink
• Myomectomy- laser removal
• Hysterectomy
Erectile Dysfunction: Causes
o Organic- gradual deterioration
o Functional- whiskey dick or something like that
o Causes (from textbook)
Inflammation of the prostate, urethra, or seminal vesicles
• Surgical procedures such as prostatectomy
• Pelvic fractures
• Lumbosacral injuries
• Vascular disease, including hypertension
• Chronic neurologic conditions, such as Parkinson disease or multiple sclerosis
• Endocrine disorders, such as diabetes mellitus (a major cause) or thyroid
disorders
• Smoking and alcohol consumption
• Drugs, such as antihypertensives
• Poor overall health that prevents sexual intercourse
If the patient has episodes of ED, it usually has a functional (psychological) cause.
Men with functional ED usually have normal nocturnal (nighttime) and morning
erections. Onset is usually sudden and follows a period of high stress. [Show Less]